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Idaho rates for HCPCS 35881

Revision, lower extremity arterial bypass, without thrombectomy, open; with segmental vein interposition

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $5,519.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,190.77 / $1,609.14 / $3,852.77
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,342.03 / $13,217.86 / $17,141.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,800.00 / $26,422.00 / $29,092.00